• Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential ... an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit… more
    Elevance Health (04/29/25)
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  • System Implementation Specialist - Public Sector

    Public Consulting Group (Tallahassee, FL)
    …will be performed using the SaaS platform tools, Java, JavaScript, and other coding languages. + Produce clean, efficient code based on defined functional and ... Agile approaches. + Proficient in Java, JavaScript, or other relevant coding languages for system configuration, development, and troubleshooting. + Participation in… more
    Public Consulting Group (03/11/25)
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  • Specialty Coder II - Anesthesia

    BayCare Health System (Tampa, FL)
    …on bonuses available!_ **Responsibilities:** + The Specialty Coder II is a Certified Professional Coder who assigns diagnosis and procedural codes using ICD-10 CM ... and CPT-4 coding systems. + The Specialty Coder audits physician documentation...CPT codes, diagnosis codes, and modifiers related to anesthesia coding and billing as well as anesthesia minutes. +… more
    BayCare Health System (03/27/25)
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  • Investigator, SIU (Remote)

    Molina Healthcare (FL)
    …performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and ... responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain ...(HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all current Molina employees:… more
    Molina Healthcare (03/21/25)
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  • Billing Spec I

    Community Health Systems (Naples, FL)
    …Specialist I works closely with internal teams, including clinic staff and coding professionals, to optimize billing operations and support revenue cycle efficiency. ... reconciles credit balances, reclassifies revenue, and processes adjustments per transaction coding guidelines. + Monitors and resolves claim denials and rejections,… more
    Community Health Systems (04/25/25)
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  • Oncology Data Specialist (ODS) Subject Matter…

    St. George Tanaq Corporation (Tallahassee, FL)
    …data flow, data collection, data editing, data quality control, and applicable standards for coding and classification. This is a fully remote role that can be based ... and submission, data editing, data quality assurance applicable standards for coding and classification, registry software systems, and staging systems. Standard… more
    St. George Tanaq Corporation (04/18/25)
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  • Inpatient Medical Coder - PRN - Up to $1,000 Sign…

    Datavant (Tallahassee, FL)
    …2 Coders, where applicable + Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders + Uphold an ... overall 95% coding accuracy rate and a 95% accuracy rate for...Stand Out:** + Associate or Bachelor's degree from an AHIMA- certified HIM or Nursing Program, or completion of a… more
    Datavant (03/27/25)
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  • ServiceNow Developer

    SHI (Tallahassee, FL)
    …usability of the ServiceNow Platform. + Maintain ServiceNow certifications, including Certified System Administrator (CSA) and Certified Application Developer ... ITIL v4 framework and its application in service management. + ServiceNow Certified System Administrator (CSA) and Certified Application Developer (CAD)… more
    SHI (04/18/25)
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  • Cell Therapy Market Access Manager - Southeast

    Bristol Myers Squibb (Tampa, FL)
    …Government payer policy, local payer dynamics and coverage policy, complex reimbursement, coding & billing dynamics, and all components of the Cell Therapy ordering ... buy and bill therapy reimbursement experience including: + Coverage, coding , billing and payment + Medicare (NCD, IPPS, OPPS,...complex, high cost buy and bill therapy experience preferred. Certified Coder or Biller is a plus + Thorough… more
    Bristol Myers Squibb (05/07/25)
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  • Client Policy Specialist

    Zelis (FL)
    …of Zelis editing products with an ability to clearly articulate correct coding and claim adjudication guidelines, interpretation of client policies and present Zelis ... healthcare payers, third party administrators, and health plans. + Current certified coder (AAPC or AHIMA) or Registered Health Information (RHIA/RHIT)… more
    Zelis (04/28/25)
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